Mechanism of operation
Tramadol is a synthetic opioid analgesic, a central action that is used to suppress chronic or acute postoperative pain. Tramadol belongs to the class of drug-resistant drugs, side effects and contra-indications. For these reasons, tramadol suppresses both moderate to severe pain, usually not applicable.
The main indications for the administration of tramadol are moderate or severe pain of varying origin (tramadol, appropriate postoperative pain suppression, neuropathic pain, pain caused by injury or tumors). In addition, tramadol can be prescribed as an anesthetist by performing certain diagnostic procedures that cause pain.
How to take tramadol
The recommended dose of tramadol will depend on the type of drugs and health status. Depending on the analgesic effect, tramadol pain intensity can last for four to eight hours. Typically, tramadol inhibits pain very quickly, but the absence of an analgesic effect within half an hour after the drug allows a similar drug dose to be re-established.
Tramadol is in the form of tablets or capsules: for adults and children up to 14 years of age – fifty milligrams once or one hundred milligrams once (with severe pain). For children up to the age of 14, the optimal dose is calculated from one to two milligrams of tramadol per kilogram body weight. Tramadol tablets can be taken on an empty stomach and after a meal – its effects do not depend on the content of the stomach, the amount of oral liquid.
Tramadol is a form of drops: for adults and children under the age of fourteen, the recommended dose is twenty drops once (drops should be mixed in a small amount of liquid). In children up to the age of 14, the dose is calculated from the ratio of one to two milligrams of tramadol per kilogram body weight.
Tramadol is a form of suppository: adults only – one hundred milligrams of drugs up to four times a day.
Tramadol-shaped ampules intravenously or intramuscularly: assigned by a doctor. The recommended dosage is from fifty to one hundred milligrams intravenously or intramuscularly. The daily rate of tramadol should not exceed chetyrhsot milligrams.
It is prohibited to take tramadol in alcohol or drugs, as follows:
- Other narcotic analgesics (opioids)
- Soothing or soothing
- Antidepressants and other medicines to help relieve depression Symptoms of depression – slightly more than bad mood and panic disorder
- Medicines for the treatment of mental disorders (such as bipolar disorder, schizophrenia)
Tramadol belongs to the class of anti-pain medication and its long-term admission dependency – so taking tramadol should be strictly in accordance with the instructions of the doctor or the manufacturer, or in any way increase the dose or the frequency of use of their own drugs without consulting your doctor. Separated discontinuation of tramadol is also not recommended, as in this case symptoms such as “removal” may occur. Tramadol is not recommended during pregnancy and lactation. Breast feeding time – and not nails!
After these side effects have stopped taking tramadol and seek medical advice:
- Hallucinations, fever, rapid heart beat, nausea, vomiting, loss of coordination, fainting, diarrhea
- Shaking, seizures
- Rash, reddening of the skin
- Rapid breathing, weak pulse
Less severe side effects that can cause dizziness in tramadol include dizziness – if the ground slips from under his feet, Headache, constipation, indigestion, increased nervousness, anxiety Anxiety – how to distinguish between normal and disease? Sleepiness and apathy.
Fluoxetine – to improve the mood
Fluoxetine belongs to a group of antidepressants called selective serotonin reuptake inhibitors (SSRIs). Antidepressants are medicines that affect the brain cells. SSRIs also affect neurotransmitters that transmit signals between nerve cells. Serotonin is a neurotransmitter that performs many functions, including improving the emotional state. It is believed that one cause of depression is that the production of serotonin in the brain is less than normal, but the one that is produced is rapidly absorbed into the nervous cells – that there is a serotonin reabsorption.
SOIZS block (suppresses) serotonin reabsorption and the person who has a good mood for long-term stays. Therefore, fluoxetine helps to reduce the symptoms of depression Depression – slightly more than bad mood, Fluoxetine is also used to treat Bulimia and Obstetric-Compulsive Disorder in adults. It is used to treat severe episodes of major depression in children if, after 4-6 sessions, psychotherapy does not help to achieve improvement.
Depression and other mental disorders are associated with an increased risk of suicidal thoughts, self harm and suicide. If you or your loved one are taking antidepressants, it is important to contact your doctor if any symptom of worsening symptoms – if, for example, anxiety is aggravated by anxiety – how to distinguish normal from the disease? and / or thoughts about suicide Popping Suicide from the point of view of a psychiatrist – can it be prevented? ,
Children should only take fluoxetine in moderate to severe depression. At the beginning of the treatment of antidepressants in children and adolescents, suicidal behaviors may be more likely to be applied to both adult and adult patients. It is very important that their loved ones are treated to understand them, it is easy to switch from exposure, giving children the opportunity to express all their thoughts and feelings. You must tell your doctor about any anxiety behavior in children taking antidepressants.
The effects of fluoxetine have been poorly investigated but are minor, there are reasons to believe that this medicine may affect growth, as well as the development of sexual, psychological, emotional and behavioral disorders in children. Before administering fluoxetine, the doctor must tell the child’s parents in detail about the risks and benefits associated with the medication. After some time it is necessary to follow the further treatment of the child.
If fluoxetine does not have a positive effect for nine weeks, it should be reconsidered when using this medicine for expediency.
The effects of fluoxetine may impair the patient’s ability to drive.
During the course of treatment should refrain from alcohol use.
Fluoxetine should not be considered for uncontrolled seizure attacks (eg, related to brain damage), but for those suffering from manic episodes of manic depression, uncontrolled epilepsy, if such epilepsy is a sacred disease and receiving during MAO inhibitors and 14 days after the end of their admission.
This medicine should be used with extreme caution in the elderly, children and adolescents; people who have ever had thoughts of suicidal thoughts or behavior that did not have any mania and / or bipolar disorder in patients. In addition, more attention in fluoxetine is needed in patients undergoing Electroconvulsive Convulsion Therapy (ETS), to take anti-psychotic drugs, as well as those who are taking anticoagulants who have heart disease, diabetes, epilepsy, seizures and history of blood disease.